Provider Demographics
NPI:1861441776
Name:REYES, MARIA T (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:T
Last Name:REYES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12201 MERIT DR STE 350
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-3129
Mailing Address - Country:US
Mailing Address - Phone:214-238-7888
Mailing Address - Fax:972-925-0272
Practice Address - Street 1:12201 MERIT DR STE 350
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251
Practice Address - Country:US
Practice Address - Phone:214-238-7888
Practice Address - Fax:972-925-0272
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7137207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1700148-01Medicaid
TXI04582Medicare UPIN
TX8C6938Medicare PIN